Long R G, Adrian T E, Bloom S R
Br Med J (Clin Res Ed). 1985 Mar 23;290(6472):886-8. doi: 10.1136/bmj.290.6472.886.
Infusion of somatostatin reduced the symptoms of the early dumping syndrome after oral glucose was given and also reduced the associated tachycardia and rise in packed cell volume. It inhibited the secretion of enteroglucagon, neurotensin, and vasoactive intestinal polypeptide, which are raised in patients with the dumping syndrome and may have an aetiological role. It also prevented the reactive hypoglycaemia of late dumping by inhibiting the release of gastric inhibitory polypeptide and insulin. Somatostatin, possibly through its inhibitory effects on hormonal secretion, may have a role in the management of patients with the early and late dumping syndrome.
输注生长抑素可减轻口服葡萄糖后早期倾倒综合征的症状,还可减轻相关的心动过速及红细胞压积升高。它抑制肠高血糖素、神经降压素和血管活性肠肽的分泌,这些物质在倾倒综合征患者中升高,可能起病因学作用。它还通过抑制胃抑制性多肽和胰岛素的释放来预防晚期倾倒的反应性低血糖。生长抑素可能通过其对激素分泌的抑制作用,在早期和晚期倾倒综合征患者的管理中发挥作用。